| NPI | 1003051673 |
|---|---|
| Doing Business As | ROUND ROCK DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PETER C PERIALAS Chief Executive Officer 512-868-1124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |