NPI | 1619331634 |
---|---|
Former Legal Business Name | JOHN E. ADCOCK DDS MS |
Entity Type | Organization |
Authorized Contact | RHONDA WORTHEN Business Manager 903-581-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 30701) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 10911) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2016-12-22 |