| NPI | 1366984395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN SCOTT COCHRAN Owner 210-714-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 14478) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |