| NPI | 1851689483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLAND MORRISON President 972-512-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22654) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22654) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |