| NPI | 1598454191 |
|---|---|
| Doing Business As | BRAZOS KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | AARON BLACKWELDER Manager 254-224-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |