| NPI | 1215208947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CULBERSON REEVES BOREN Owner/ Dentist 903-581-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 13063) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |