| NPI | 1457508483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON OLEN BOSWELL Owner Dds 979-297-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10375) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |