NPI | 1144510983 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WILLIAMSON Dentist 903-893-6341 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 19100) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23222) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2011-04-13 |