| NPI | 1770821738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY POPE Owner/President 214-350-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 24589) |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2013-01-27 |