| NPI | 1225398456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C.D. BUTLER Oral Surgeon/President 915-581-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 12943) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |