NPI | 1285905935 |
---|---|
Doing Business As | JEROMY W. DAUPHIN DDS |
Entity Type | Organization |
Authorized Contact | JEROMY WADE DAUPHIN Owner 903-893-4224 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24108) |
Enumeration Date | 2012-01-25 |
Last Update Date | 2012-01-25 |