| NPI | 1811733769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG EDWARD HARRISON II Owner 903-530-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |