| NPI | 1730318270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Senior Credentialing Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: HI 2093) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2025-05-08 |