| NPI | 1093244329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN SIDNEY HODGES Orthodontist 806-353-9862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 29951) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-07-21 |