| NPI | 1033309091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOHN CALDWELL Owner 512-832-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22132) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |