| NPI | 1912281247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLAND MORRISON President 972-512-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22654) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22654) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |