| NPI | 1164434411 |
|---|---|
| Doing Business As | FUN DENTIST - CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES E. HYDE Owner 817-478-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 9223) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2023-01-30 |