| NPI | 1285301150 |
|---|---|
| Doing Business As | BEE CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD DONKERSGOED Dentist 512-986-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |