| NPI | 1003998170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WALTON LAWRENCE Dentist 817-737-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 7503) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |