| NPI | 1710905641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETTE ROBERTS Office Manager 972-985-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TX 12607) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |