| NPI | 1881831790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA HURTADO Administrator 972-234-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18843) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |