| NPI | 1720325418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOWUMI AKHUINI IHIONKHAN Dentist/Director 903-242-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20172) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2020-07-29 |