| NPI | 1467822924 |
|---|---|
| Doing Business As | KILLEEN DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE HARRIS Owner/Dentist 254-634-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2019-06-18 |