| NPI | 1366500803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO ESCOBAR Partner Owner 512-795-9643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |