| NPI | 1164870903 |
|---|---|
| Other Name | FAMILY DENTISTRY ON MANCHACA |
| Entity Type | Organization |
| Authorized Contact | MEGHA BASSI Dentist 512-428-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2024-07-18 |