NPI | 1679839203 |
---|---|
Doing Business As | BOTT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER LONNIE BOTT Owner Dentist 469-441-2577 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25590) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2012-04-09 |