| NPI | 1902112519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMSEY MATTHEW FANOUS Doctor/Owner 972-359-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 16343) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2015-04-09 |