| NPI | 1780995944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE CARMICHAEL Owner 972-276-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22973) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |