| NPI | 1932407939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE A. SMITH Office Manager 469-698-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 16736) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |