| NPI | 1942345582 |
|---|---|
| Doing Business As | GULF COAST ORTHODONTIC SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | RONALD KEITH RISINGER Orthodontist 409-924-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 15661) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-01-21 |