NPI | 1871646158 |
---|---|
Doing Business As | NORTH TARRANT OMFS |
Entity Type | Organization |
Authorized Contact | FRED ANDERSON LOE Owner 817-237-7557 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 17581) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2016-02-11 |