| NPI | 1346388360 |
|---|---|
| Former Legal Business Name | LONGHORN DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAUL BATES President 512-371-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-06-11 |