NPI | 1104288372 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM STEVEN BROWN President/Principal 817-335-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 15773) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2016-03-25 |