| NPI | 1043754740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE STANLEY PREECE Manager 817-292-2004 |
| Organization Subpart ? | |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 17828) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |