| NPI | 1316234636 |
|---|---|
| Doing Business As | TEXARKANA DIVISION |
| Entity Type | Organization |
| Authorized Contact | JODIE KOGER Director Of Operations 870-777-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3177) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |