| NPI | 1720132905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARTIN DILLINGHAM Orthodontist 512-447-5194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 15903) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |