NPI | 1699785030 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA M SILVESTRI President 817-834-3666 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15537) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |