| NPI | 1871953646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERLACH Dentist 214-477-5106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 29997) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |