| NPI | 1407168362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WILLIAMS Billing Assistant 512-327-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 21403) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 8858) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |