| NPI | 1841521879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA AUSTIN Owner 817-750-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21381) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21561) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |