| NPI | 1386911634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX BRIONES Owner/Dentist 512-280-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25859) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |