NPI | 1164591582 |
---|---|
Former Legal Business Name | FRANK L HIGGINBOTTOM DDS INC |
Entity Type | Organization |
Authorized Contact | FRANK L HIGGINBOTTOM President 214-827-1150 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9591) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20871) |
1223P0700X Dentist, Prosthodontics (Licence: TX 24881) | |
Enumeration Date | 2006-11-07 |
Last Update Date | 2013-05-10 |