| NPI | 1366609075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MADSEN SMITH President 806-353-4361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21684) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 9826) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |