| NPI | 1821462102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB PATRICK SENTLINGAR Secretary/Business Manager 972-989-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |