NPI | 1255521837 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY WILLIAM MARCANTONI Owner/Surgeon 512-372-6230 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 18386) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2007-07-30 |