NPI | 1578801171 |
---|---|
Former Legal Business Name | G. BROOKS HANEY DDS |
Entity Type | Organization |
Authorized Contact | GEORGE BROOKS HANEY Owner 972-644-9595 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 11812) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |