| NPI | 1487981072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GATHRIGHT President 817-991-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX TX20397) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |