| NPI | 1306954839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANA MARIE BUSCH President 512-452-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15389) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |