NPI | 1528232006 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH C. THOMPSON Dentist 903-577-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX TX 20214) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX TX10422) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2008-04-16 |