| NPI | 1346470333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BRADLEY BOOKMYER President 512-244-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 18581) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18295) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |