| NPI | 1346416070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK W MORROW Owner 817-569-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 12222) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-06-19 |