NPI | 1871002816 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA FINLEY Office Manager 469-651-1776 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 23985) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2022-07-21 |