| NPI | 1235468166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T SHOPTAW Owner 254-760-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 10353) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |