| NPI | 1699863415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE ZERBY HUTCHESON Owner 972-235-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23843) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 11388) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 19681) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-12-26 |