| NPI | 1003903238 |
|---|---|
| Doing Business As | 38TH STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | C MIKE MEEK General Dentist 512-458-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19010) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |