| NPI | 1942473178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE R HEIRTZLER President/Owner 409-962-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 6682) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |