| NPI | 1144612128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE LIBLING President 682-231-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26474) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |