| NPI | 1295162345 |
|---|---|
| Doing Business As | AUSTIN COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JARED BRUGGEMAN Dentist 817-912-2982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |