NPI | 1104578871 |
---|---|
Other Name | WIMBERLEY VALLEY DENTAL |
Entity Type | Organization |
Authorized Contact | DAVI WILLIAMS Owner 512-847-9521 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-24 |
Last Update Date | 2022-01-24 |