NPI | 1609932599 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD MACON WARE President 409-866-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10365) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-12-14 |