| NPI | 1467726307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY N ELMS Owner/President/Orthodontist 979-693-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 16048) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |