| NPI | 1831311240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN W KIHLSTROM Owner 935-447-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 20387) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-03-19 |