| NPI | 1215228333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY J BUNN Orthodontist/President 806-433-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 19653) |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2011-04-23 |