| NPI | 1508526732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SLAUGHTER CEO 469-207-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |