NPI | 1194104505 |
---|---|
Doing Business As | FORT WORTH CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREW M JAMISON Doctor/Owner 817-569-6633 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21557) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2015-05-21 |