| NPI | 1740741115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE STIMPSON Clinical Dental Director 214-208-3782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |