NPI | 1124393434 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY G ACKER President/Owner 903-597-2848 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 8636) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-20 |