NPI | 1033285978 |
---|---|
Entity Type | Organization |
Authorized Contact | HELEN CARLEY-HOLMES Operations Manager 512-250-5012 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16471) |
Enumeration Date | 2006-11-24 |
Last Update Date | 2020-08-22 |