| NPI | 1437368800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G. GOODMAN Managing Director 325-224-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11749) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |