| NPI | 1316164361 |
|---|---|
| Doing Business As | TEXOMA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHNNY ROLANDO GRINSPAN President 903-465-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 20582) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |