| NPI | 1093066540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENICE LACHEER WILLIAMS Owner/General Dentist 915-500-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 25889) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |