| NPI | 1013459437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY G. SCHULZ Dentist/Owner 806-356-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 11221) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2017-03-21 |