| NPI | 1801913207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER GIBBE WILLIAMS President 817-731-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 7817) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |