| NPI | 1023195427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STEVEN BONNER Dentist/Owner 940-691-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 14022) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-07-31 |