| NPI | 1710030655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR JOSEPH SIGODA President 972-542-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20151) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |