| NPI | 1740426659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE STANLEY PREECE Owner 817-741-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 17828) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 22241) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2010-07-29 |