| NPI | 1295099489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COLBY SMITH Owner 512-869-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14994) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |