| NPI | 1215290697 | 
|---|---|
| Doing Business As | DENTISTRY FOR CHILDREN | 
| Entity Type | Organization | 
| Authorized Contact | CULBERSON REEVES BOREN Owner/ Doctor 903-581-2198  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 13063)  | 
| Enumeration Date | 2012-06-20 | 
| Last Update Date | 2012-06-20 |