| NPI | 1508305335 |
|---|---|
| Doing Business As | MY DENTIST |
| Entity Type | Organization |
| Authorized Contact | KEVIN DEUTSCH President 512-452-8262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25628) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |