| NPI | 1780984922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCCORMICK Owner/Doctor 972-231-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24495) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |