| NPI | 1700157146 |
|---|---|
| Other Name | TRINITY VALLEY ORAL SURGERY & DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS K DRAPER Owner 469-689-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 24789) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-08-23 |