| NPI | 1992174346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM RAY SCOTT President 512-371-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 21442) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |