| NPI | 1043471311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E DONOHUE Dentist 817-431-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 14921) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |