| NPI | 1568116812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BEARD Dentist 806-793-5454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-11-07 |