| NPI | 1841503877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA DUARTE Operations Manager 214-549-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24716) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |