| NPI | 1811097314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SEELY Owner/ Pres. 972-436-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 12386) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2020-08-22 |