| NPI | 1386910065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY FINLEY Office Administrator 940-723-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22228) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20198) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |