| NPI | 1306131784 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF TEXARKANA |
| Entity Type | Organization |
| Authorized Contact | DAVID M GLASS Dentist 901-833-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 26442) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |