| NPI | 1245118751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG TAYLOR Manager 512-872-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |