| NPI | 1871036400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIA LEWIS LEFFALL CEO/Owner 214-941-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 92653802) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |