| NPI | 1699588350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON VICKERS Owner 972-436-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |