NPI | 1356517650 |
---|---|
Other Name | MICHAEL D VACLAV DDS & RYAN STREET DDS |
Entity Type | Organization |
Authorized Contact | MICHAEL D VACLAV Partner 806-355-7463 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 10364) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21834) |
122300000X Dentist (Licence: TX 21834) | |
Enumeration Date | 2008-05-06 |
Last Update Date | 2011-05-26 |