| NPI | 1154490597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE P. CUMMINGS President 432-683-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 9901) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |