| NPI | 1447797188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BRADLEY BROWN Owner 325-374-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 13529) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-03-07 |