| NPI | 1750656328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL HATFIELD Insurance Coordinator 325-695-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23519) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |