| NPI | 1730453937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER BROOKS Business Manager 972-542-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20866) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |