| NPI | 1356527949 |
|---|---|
| Doing Business As | TEXAS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUSTIN COKE Owner 210-495-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21002) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2015-03-31 |