| NPI | 1023350212 |
|---|---|
| Doing Business As | WATERWAY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JARED BRUGGEMAN Owner/Doctor 817-328-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-04-01 |