| NPI | 1922119262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GLENN MILLER Owner 214-692-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9240) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |