NPI | 1053539338 |
---|---|
Doing Business As | GULF COAST ORTHODONTIC SPECIALISTS |
Entity Type | Organization |
Authorized Contact | RONALD KEITH RISINGER Orthodontist 409-729-2371 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 15661) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2009-01-21 |