| NPI | 1548443203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KOLI SAWYER Owner 325-947-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20387) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |