| NPI | 1255593711 |
|---|---|
| Former Legal Business Name | TANGLEWOOD AUGUSTA DENTAL GROUP,P.C.,D.D.S |
| Entity Type | Organization |
| Authorized Contact | BRAD MASON BOSWELL Owner/Dentist 713-784-2952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13841) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |