| NPI | 1255594735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L ST. LOUIS President 512-292-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 23702) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2008-07-06 |