| 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 |