| NPI | 1285840363 |
|---|---|
| Former Legal Business Name | OWNER HARRY F ROLAND |
| Entity Type | Organization |
| Authorized Contact | HARRY FRANKLIN ROLAND Owner 512-244-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13565) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 13565) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 13565) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-01-31 |