| NPI | 1972773869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER E. SPENCER President 972-660-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 8482) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |