| NPI | 1528197019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J BORGMAN Owner 512-835-5780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13305) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-07-07 |