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 |