| NPI | 1942392691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY MICHELE WINARICK President 254-772-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX B20605) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-06-24 |