| NPI | 1710127378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KAY COPELAND Dentist 903-753-7515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 16043) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |