| NPI | 1104950294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN LEWIS MASON Partner 512-477-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10974) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-03-07 |