| NPI | 1053656686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCA GBIE GIPLE-JOHNSON Dentist/Owner 512-535-5257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24200) |
| Enumeration Date | 2012-12-08 |
| Last Update Date | 2012-12-08 |