NPI | 1659550689 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY R SUMMERS Owner 361-851-1876 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 16876) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2007-10-26 |