NPI | 1275646895 |
---|---|
Entity Type | Organization |
Authorized Contact | DON T SPECK President 713-668-6778 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 12153) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 4683) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2015-07-31 |