| NPI | 1992035224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HILL Rcm, Director 972-930-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NM 1398) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2022-09-19 |