| NPI | 1770980427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN STANWORTH Dentist, Owner 940-484-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30149) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |