NPI | 1073716338 |
---|---|
Other Name | SHOAL CREEK PROSTHODONTIC GROUP |
Entity Type | Organization |
Authorized Contact | ADRIAN F RAMOS Insurance Coordinator 512-451-7491 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 17867) |
Enumeration Date | 2007-06-06 |
Last Update Date | 2008-06-18 |