NPI | 1386890648 |
---|---|
Other Name | HUCKABEE DENTAL |
Entity Type | Organization |
Authorized Contact | TIMOTHY M HUCKABEE Owner 817-329-4746 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15508) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |