| NPI | 1891333837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY LEWIS Owner 972-907-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |