| NPI | 1700187473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN CAMPBELL Office Manager 972-412-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24151) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |