NPI | 1467801423 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID B FERGUSON Owner 210-683-6353 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24904) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-06-09 |