NPI | 1336439165 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN WAYNE SMITH Orthodontist 512-219-1389 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 15539) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2011-04-13 |