| NPI | 1063685238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS REIDMILLER Orthodontist 281-463-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-05-06 |