| NPI | 1538507181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HORNE Dr. Horne 512-467-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21136) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 24632) |
| 124Q00000X Dental Hygienist (Licence: TX 16782) | |
| 124Q00000X Dental Hygienist (Licence: TX 16813) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |