| NPI | 1043927197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITIN UDDARAJU RAJU Oral Surgeon 512-692-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2022-10-28 |