NPI | 1861651291 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES IVAN WILLIAMS Owner 972-230-0155 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 8495) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2008-06-11 |