NPI | 1033691878 |
---|---|
Entity Type | Organization |
Authorized Contact | KESHAVI G PATEL Dentist/Owner 512-888-9340 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 31345) |
Enumeration Date | 2018-08-29 |
Last Update Date | 2018-08-29 |