| NPI | 1881904795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RICHARD RIES Partner 325-949-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 25697) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |