| NPI | 1417312844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON HARTSFIELD Member 512-417-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 12117) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |