| NPI | 1154697209 |
|---|---|
| Doing Business As | STUDIO ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DARRYL E GILMORE Owner 817-375-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24324) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |