| NPI | 1407234248 |
|---|---|
| Doing Business As | NACOGDOCHES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNFIER CRISS President 936-559-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21417) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21417) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |