NPI | 1538349402 |
---|---|
Entity Type | Organization |
Authorized Contact | JED C HILDEBRAND Orthodontist 972-757-8557 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 21323) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2007-11-08 |