| NPI | 1083979462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALKER LOEFFELHOLZ Member 817-735-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 25792) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |