| NPI | 1801951595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS W. KENNAUGH Owner 409-982-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10715) |
| Enumeration Date | 2006-12-24 |
| Last Update Date | 2012-04-20 |