| NPI | 1528413358 |
|---|---|
| Doing Business As | AQUARIO ORTHO |
| Entity Type | Organization |
| Authorized Contact | DUSTN RODEN-JOHNSON Owner 832-203-7968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22109) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |