NPI | 1487662201 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN H LINTAKOON President 512-306-0601 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17093) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2020-08-22 |