| NPI | 1154652584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY SHANE STEVENS Co Founder And CEO 512-989-6990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 16325) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2012-02-16 |