| NPI | 1881776979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE H. FARRAR President 838-693-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-07-21 |