| NPI | 1104198076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROSS POSNICK Pediatric Dentist/Owner 409-744-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 14433) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 15123) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |