| NPI | 1932329562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DAZEY Vice President 817-268-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 17407) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |