| NPI | 1881877645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S JOHNSON Partner/Owner 806-795-9503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 17087) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |