| NPI | 1134835424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNSEY HARRISON General Business Director 806-398-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |