| NPI | 1790926806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA DENISE SMITH Dentist 817-723-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22677) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2016-03-23 |