| NPI | 1396140745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE E SIEH President 254-899-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |