NPI | 1114559937 |
---|---|
Entity Type | Organization |
Authorized Contact | BLOYCE BRITTON Orthodontist 210-497-6688 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-02-10 |
Last Update Date | 2020-02-10 |