| NPI | 1710092085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY A CAMPBELL Owner/President 972-939-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10935) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-08-30 |