NPI | 1447470026 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES HANSFORD HOLT CEO 817-488-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18125) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |