| NPI | 1942063987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LEISHMAN Owner, Dentist Anesthesiologist 214-399-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-13 |