| NPI | 1033720065 |
|---|---|
| Former Legal Business Name | WATERFORD DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | BRAD ANTHONY SCHAFER Owner/ Oral Surgeon 254-773-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |