| NPI | 1528186871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER WHITMAN FERRIS President 830-816-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20197) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-07-06 |