| NPI | 1902237381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RIDER TROTTER Owner/Pediatric Dentist 254-399-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 16801) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |