| NPI | 1407195290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON CLARK DAMON President 806-584-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 27147) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |