| NPI | 1730064296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL RICHARDSON Director Of Revenue Cycle 214-934-7995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |