| 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 |