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 |