| NPI | 1093954521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOHN CALDWELL Dentist 512-809-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22132) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |