NPI | 1083002562 |
---|---|
Doing Business As | CHISHOLM TRAIL FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ERIC T BRAUNLIN Dentist/ Partner 817-641-2288 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 27028) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 18120) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |