| NPI | 1699313510 |
|---|---|
| Doing Business As | CHILDREN'S DENTIST AND ORTHODONTIST |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Director Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |