| NPI | 1154326486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T HARRIS Owner 903-892-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18321) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2009-02-04 |