NPI | 1588051395 |
---|---|
Other Name | SOL RIVER |
Entity Type | Organization |
Authorized Contact | CRAIG F COPELAND Owner 940-808-1970 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25735) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2015-04-20 |