| NPI | 1366728040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CALDWELL President 409-434-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 12803) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |