| NPI | 1194494708 |
|---|---|
| Doing Business As | DEZAVALA DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | JOEL OLMOS Owner/ Doctor 512-268-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-11-16 |