| NPI | 1417058942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON A WOODWORTH Owner/Provider 817-468-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 13236) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |