| NPI | 1285011882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMEAU CHRISSORNE Receptionist 432-363-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28759) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |