| NPI | 1801067301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES WOODBURN President 806-358-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9436) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |