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 |