| 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 |