| NPI | 1992924765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARTIN PURDY President 915-593-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11288) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |