| NPI | 1275754426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COLLINS President 254-772-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 14297) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-09-27 |