NPI | 1780804468 |
---|---|
Other Name | CENTRAL TEXAS ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | GERALD WAYNE MCCONNELL Owner 254-899-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 8204) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |