| NPI | 1770758682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL L KANEIRA Dentist 972-941-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 20062) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |