| NPI | 1457435059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T. WHITE President 512-346-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 9958) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 17660) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |