| 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 |