| NPI | 1578526398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R CARROLL Owner/President 903-892-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 10297) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |