| NPI | 1962666537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A BOGARD President 972-475-3429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13591) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |