| NPI | 1396821575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FRANCIS HODGES President 662-407-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-03-20 |