| NPI | 1336570654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND BLAKE BRAIDFOOT Pediatric Dentist, Owne/Operator 972-566-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23666) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |