| NPI | 1477627206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARSHALL SHERWOOD Owner 512-454-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18860) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-06-23 |