NPI | 1972812667 |
---|---|
Doing Business As | SHILOH FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | WILLIAM ROBERT JENNINGS Owner 903-581-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18962) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2010-09-29 |