| NPI | 1962647388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY N ALLES Owner 469-368-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22290) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22618) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |