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 |