NPI | 1821292897 |
---|---|
Former Legal Business Name | STEVENSON ORTHODONTICS, P.C. |
Entity Type | Organization |
Authorized Contact | HAL C STEVENSON President 281-693-1333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 9125) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2008-03-04 |