| NPI | 1548562341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE N SCHROEDER Owner 817-514-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9091) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |