| NPI | 1578893020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GERWIG President 806-794-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22680) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 14505) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2013-09-19 |