NPI | 1376661496 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN THEODORE THOMPSON Dentist 361-242-3151 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14704) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |