| NPI | 1902013881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT ST. CLAIR Partner 806-799-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 10457) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |