| NPI | 1326257858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGNOLIA MAGGIE SHARFAE Owner 512-288-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19831) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-07-15 |