NPI | 1558564435 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM WALDRON BARNES President 817-924-0091 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 8499) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2008-08-14 |