| NPI | 1831506831 |
|---|---|
| Former Legal Business Name | HALTOM ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL RICHARDSON Director Of Rcm 214-934-7995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NM DD2090) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2025-12-01 |