| NPI | 1861669103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DANFORD DOSS President 817-731-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 12108) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |