| NPI | 1710136494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JASON MORELAND Owner 915-755-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24036) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |