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 |