| NPI | 1972771053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY ALLISON JOYCE Front Office 817-453-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX L9710) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |