| NPI | 1699150730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWS AL-DARKAZALI Owner 817-864-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29939) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |