| NPI | 1295109858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M. STOKES Owner/Orthodontist 903-892-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |