| NPI | 1700045861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WEEMS Office Manager 972-378-6762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 16742) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2012-02-09 |