| NPI | 1154531135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E. ABSHER Manager 817-261-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12729) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-06-01 |