NPI | 1962007393 |
---|---|
Doing Business As | OLDHAM FAMILY ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MAXWELL OLDHAM President 512-256-7886 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-12-03 |
Last Update Date | 2020-12-03 |