| NPI | 1760691174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J COX President 800-684-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 26160) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 43359) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-01-08 |