| NPI | 1003186495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT MCDONALD Owner/Dentist 817-731-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 12997) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |