| NPI | 1962725994 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY OF WICHITA FALLS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DAE LEE President 214-923-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22042) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2016-03-07 |