| NPI | 1376047795 |
|---|---|
| Doing Business As | GRACE CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SCOTT SIEGEL Owner 512-787-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-06-12 |