| NPI | 1124386602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEL DINKLER CFO 361-654-5616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |