| NPI | 1205314150 |
|---|---|
| Doing Business As | PICKETT FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TYSON PICKETT Owner 817-431-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 31668) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |