| NPI | 1881894251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD KANTZ President/Owner 817-283-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 8197) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |