| NPI | 1972819654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H. SHUTTLESWORTH President 361-578-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 11133) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |