| NPI | 1184415473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L HANYSAK Orthodontist 254-640-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |