| NPI | 1104119213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT WINDROW President/Secretary 830-426-3800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 8344) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |