| NPI | 1720341639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WEISSBURD President 817-473-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24842) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |