| NPI | 1740960798 |
|---|---|
| Doing Business As | TEXAS WISDOM TEETH |
| Entity Type | Organization |
| Authorized Contact | SARAH HODAN Associate Director Of Operations 972-436-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |