| NPI | 1104320969 |
|---|---|
| Doing Business As | ENABLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TIGGELAAR Authorized Agent 512-980-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-11-03 |