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 |