| NPI | 1851717102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RICHARD ALSPACH Owner 940-566-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 13056) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |