| NPI | 1760632251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ANN SPITTLER Insurance Co Ordinator 214-978-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22712) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |