| NPI | 1629331608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MACHICEK Orthodontist 682-300-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 24724) |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2012-06-24 |