| NPI | 1306117510 |
|---|---|
| Doing Business As | SPRING ST DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW LASSEN President 512-321-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 27098) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |