| NPI | 1295939759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROY REEVES President 512-528-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 21653) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |