| NPI | 1770795726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HIDEO JUDY President 512-260-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 19584) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |