| NPI | 1982065330 |
|---|---|
| Doing Business As | ORTHODONTEX |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROBERT SHAW Managing Partner 972-722-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 30541) |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2016-03-13 |