| NPI | 1194036905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L HAYES Dentist/Owner 682-518-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21507) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |