| NPI | 1477894871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DARREL FAIN Dentist/President 903-832-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 27619) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2013-03-09 |