| NPI | 1962544395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA BIRTH Orthodontist 817-348-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 14150) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-03-28 |