| NPI | 1801060827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA J WOOD Business Assistant 903-675-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11579) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |