| NPI | 1902968787 |
|---|---|
| Other Name | TRAIL CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | PHILLIP G HINSON Owner 817-283-5376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 09222) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |