| NPI | 1184080814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLE MATTHEW SCHOFIELD Board Certified Orthodontist 972-258-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 30874) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2018-06-18 |