| NPI | 1811316086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY CARL ADKINS Owner Dentist 806-793-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 13055) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 27872) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |