| NPI | 1215694815 | 
|---|---|
| Doing Business As | AUSTIN ELITE SMILES | 
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH LOWERY Owner 512-866-3800 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental | 
| Enumeration Date | 2021-11-18 | 
| Last Update Date | 2024-07-28 |