| NPI | 1235536053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON REBBER Dentist 432-699-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27730) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |