| NPI | 1437335858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND EARL BARBRE Owner/Operator 817-472-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 14900) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |