NPI | 1174868806 |
---|---|
Entity Type | Organization |
Authorized Contact | BLOYCE HILL BRITTON Owner 210-497-6688 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 17878) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2012-12-06 |