| NPI | 1821236159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHARLA R COLLINS Manager 972-270-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20102) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |