NPI | 1154547099 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR DONALD SHAW Dentist/Owner/Partner 409-833-0760 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13588 / 19184) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 13588) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2008-07-30 |