| NPI | 1750559498 |
|---|---|
| Doing Business As | MIDLAND CHILDREN'S DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS A. YOUNGBLOOD Manager 432-682-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21026) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |