| NPI | 1467716332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RUDYARD REEVES President 817-573-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 19019) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2012-06-26 |