| NPI | 1396814638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALAN MASON Ownerpartner 817-481-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17211) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 9032) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |