| NPI | 1447269063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LAWLER Clinical Coordinator 806-792-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 16999) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |