| NPI | 1053037663 |
|---|---|
| Doing Business As | AUSTIN RANCH DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KWON Owner 469-766-0857 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |