| NPI | 1760823488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WRIGHT MCMINN Orthodontist 915-249-5302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |