| NPI | 1356678916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREDERIC EVANS President 512-461-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 19741) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-12 |