| 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 |