| NPI | 1205480613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN CAIN Orthodontist 830-693-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |