| NPI | 1912150111 |
|---|---|
| Doing Business As | WATERFORD DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | TODD L EVANS Owner 254-773-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TX 22583) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |