| NPI | 1942219597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LAWLER Clinical Coordinator 806-792-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 16972) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |