| NPI | 1922317965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Sr Credentialing Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL 9692) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2025-08-26 |