NPI | 1558622894 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY F MAPES Owner 903-297-6022 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 13912) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2012-06-04 |
Last Update Date | 2012-07-19 |