| NPI | 1477005908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA BIRTH Orthodontist 817-546-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 14150) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |