NPI | 1255794087 |
---|---|
Doing Business As | AUSTIN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ASHLEY SMITHERMAN Owner/Provider 979-777-3258 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28187) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2016-03-30 |
Last Update Date | 2016-03-30 |