| NPI | 1760874093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GREENHALGH Administration 915-921-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25959) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |