| NPI | 1497809099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALLEN WITTE President 903-593-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 9413) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-01-21 |