| NPI | 1104058429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. JOEL LOWRY President 940-552-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9086) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |