NPI | 1407496474 |
---|---|
Doing Business As | PECAN PARK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KATHRYN LYN JAMES General Dentist 512-250-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-08 |
Last Update Date | 2020-01-08 |