| NPI | 1063789550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN I PEARSON Owner 903-874-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21036) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-12-26 |