| NPI | 1992886204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN PACE President 817-428-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18619) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |