| NPI | 1144604166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN EARL BOGGS Chief Operating Officer 940-368-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26562) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |