NPI | 1841557105 |
---|---|
Doing Business As | ALLSTAR CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREW M HEATON President 254-698-0641 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 27068) |
Enumeration Date | 2012-04-11 |
Last Update Date | 2013-02-19 |