| NPI | 1417186149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL EDWARDS Dentist/Owner 432-272-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21784) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |