| NPI | 1417389933 |
|---|---|
| Doing Business As | STUDIO ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DARRYL EUGENE GILMORE Member/Orthodontist 817-847-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24324) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |