| NPI | 1376619502 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES KIRK SIMONS Owner 512-442-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 9122) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-04-01 |