| NPI | 1710283767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRON CHAMBLISS Manager 979-297-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11238) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |