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 |