| NPI | 1255709697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHARINE PETERS Managing Member 512-478-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22337) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |