NPI | 1235412743 |
---|---|
Doing Business As | DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | TRACY VAUGHN Office Manager 936-327-9490 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18352) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2022-01-03 |