| NPI | 1790918878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA L FLATT Business Manager 806-352-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 14076) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |