| NPI | 1861649493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D. CHESLEY Owner 806-358-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX D21493) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2009-05-13 |