| NPI | 1811229073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE PARKER MCCANN Chief Financial Officer 979-798-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10723) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |