| NPI | 1619302064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WALTON Owner/Doctor 817-447-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 26063) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |