| NPI | 1851620736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME VILLARREAL Owner 972-485-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22206) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2015-02-02 |