NPI | 1508010018 |
---|---|
Doing Business As | A M DENTAL |
Entity Type | Organization |
Authorized Contact | GENE GRESS Owner 512-461-4027 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 13087) |
1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24336) | |
Enumeration Date | 2008-11-11 |
Last Update Date | 2009-04-22 |