| NPI | 1700085669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA NIVEDITAJOUVITA FERNANDES-MORAIS Owner 817-681-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21650) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2011-04-06 |