| NPI | 1609191634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF M. WEBB Dentist/ Owner 325-672-2794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11786) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22770) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |