| NPI | 1457624173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KING BARTON Owner 409-729-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 10494) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |