| NPI | 1669580692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EVERETT BOSHER Dentist 972-985-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10941) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-07-30 |