NPI | 1942691597 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD JOHN MARTIN Owner 972-434-0050 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 20753) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2015-02-17 |