| NPI | 1922480417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LATRENDA JONES Dentist/Owner 214-948-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21173) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |