| NPI | 1417385360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON KIMES Orthodontist 512-394-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 25048) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |