| NPI | 1790902195 |
|---|---|
| Doing Business As | EAST TEXAS ORTHODONTIC SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH WILLIAM STURRUP Orthodontist 903-509-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 8352) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-08-13 |