| NPI | 1932327368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M SAUTER Owner 972-288-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 15824) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 16437) |
| 1223P0700X Dentist, Prosthodontics (Licence: TX 10997) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-09-09 |