| NPI | 1962599548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DAVID WHITING President Owner 972-881-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14009) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-09-20 |