| NPI | 1760522031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON OSAKWE Owner 972-926-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 20474) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-03-03 |