| NPI | 1760026660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D THOMPSON Owner 972-519-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-01-07 |