| NPI | 1336744820 | 
|---|---|
| Doing Business As | BOSS ORTHODONTICS | 
| Entity Type | Organization | 
| Authorized Contact | REANN MARIE BOSS Orthodontist 512-640-4289 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | 
| Enumeration Date | 2020-12-02 | 
| Last Update Date | 2020-12-02 |