| NPI | 1104940394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT WILLIAM MEYER Owner 817-275-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 7092) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |