NPI | 1174621759 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT MILNER TATE Owner 512-342-7805 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 8487) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2009-11-30 |