| NPI | 1518371814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ERWIN ALLEN President 512-293-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28301) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |