| NPI | 1821348699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALEXANDER ROUSE Dentist 972-727-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25523) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |