NPI | 1780907030 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY STEVEN HERRINGTON Managing Partner 903-729-7286 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2010-03-01 |
Last Update Date | 2010-03-18 |