| NPI | 1023313616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM S ARZEGAR President/ Owner 512-550-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 23982) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22434) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |