| NPI | 1881832509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT E GILES Owner 432-522-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |