| NPI | 1083866594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE D SCOTT Owner 903-785-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX D17771) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |