| NPI | 1962881748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERALD HEFFELFINGER Owner 972-563-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25393) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |