| NPI | 1932420221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL KANEIRA Dentist 817-447-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20062) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20062) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |