| NPI | 1245232594 |
|---|---|
| Doing Business As | THE DENTIST |
| Entity Type | Organization |
| Authorized Contact | RICHARD BERNARD LUCZAK President 940-497-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19398) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2009-03-03 |