| NPI | 1306106646 |
|---|---|
| Doing Business As | NORTHPARK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BOOTH Dental/Owner 512-491-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24222) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |