| NPI | 1366771925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO ELLWOOD ERNST Owner/Dentist 361-573-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 8030) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |