| NPI | 1780893255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANIVARA KRONE President 817-283-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20602) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |