| NPI | 1770955668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX ASHER HENEGAR Owner 469-248-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27339) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |