| NPI | 1881850766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D. BATES President 214-824-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |