| NPI | 1811081045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALAN SIMMONS Owner/Dentist 972-398-6002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21696) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |