| NPI | 1114208634 |
|---|---|
| Doing Business As | COOL CREEK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ADAM KRISTOFF Owner 512-501-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20544) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |