NPI | 1891959201 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE MAYO ROLAND President 972-253-5711 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18971) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2008-07-15 |