| NPI | 1891018297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN R WALDER President/ Orthodontist 972-564-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 0024486) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 0020802) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |