| NPI | 1497027361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LAWRENCE Doctor/Owner 903-885-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 24707) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |