| NPI | 1073673224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA T. BIRTH Orthodontist 817-370-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 14150) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-10-12 |