NPI | 1447564190 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON HEATH HORTON President 972-393-7348 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 23780) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2010-08-04 |