| NPI | 1306340179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN ROBERT HEALY Co Owner & Orthodontist 281-220-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 33212) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |