| NPI | 1104057819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MILES GAY Office Manager 254-699-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19062) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |