NPI | 1427348218 |
---|---|
Doing Business As | COOL KIDS DENTISTRY OF IRVING |
Entity Type | Organization |
Authorized Contact | JOHN RALSTON GOBER Owner/Dentist 817-980-0298 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 16709) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 16709) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2011-04-13 |