| NPI | 1053845115 |
|---|---|
| Doing Business As | WOODLANDS ORTHODONTIC GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID MOURITSEN Orthodontist 512-879-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 25478) |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2017-04-16 |