| NPI | 1477688596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANTHONY MOHR President 281-376-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 14424) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |