| NPI | 1518664200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY CUNNINGHAM Owner/Dds, Md, Facs 254-265-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |