NPI | 1013218155 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID TAYLOR President, Orthodontist 956-630-6166 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 23767) |
Enumeration Date | 2010-11-05 |
Last Update Date | 2010-11-05 |