NPI | 1477716447 |
---|---|
Other Name | PROFESSIONAL COOP |
Entity Type | Organization |
Authorized Contact | FELIX WENDALL STARGHILL Dentist 214-330-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 16997) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2008-07-09 |