| NPI | 1477881407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GATHRIGHT President/CEO 817-991-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20397) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |