| NPI | 1326391095 |
|---|---|
| Doing Business As | WESTERN TRAILS DENTAL |
| Entity Type | Organization |
| Authorized Contact | KARN KRITSANACHAIWANICH Owner 512-326-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17673) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |