| NPI | 1558587741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY J ROBERTSON President 409-962-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16871) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |