| NPI | 1407473101 |
|---|---|
| Doing Business As | SOUTH AUSTIN DENTAL STUDIO PLLC |
| Entity Type | Organization |
| Authorized Contact | KAMEL ELHOSARY Owner 512-444-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |