| NPI | 1205004223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GATHRIGHT President 817-991-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20397) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |