| NPI | 1235402371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT KING IP Dentist 512-814-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22901) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2013-05-16 |