| NPI | 1013125558 |
|---|---|
| Doing Business As | 8118 DENTAL PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | ERICA ELWARD Partner/Dentist 512-452-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 15389) |
| 122300000X Dentist (Licence: TX 9068) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-05-16 |