| NPI | 1114234556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BRISCOE Owner/Doctor 903-261-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 9121) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2023-09-06 |