NPI | 1548553886 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN SCOTT BARBER Owner 830-624-6085 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21504) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2011-05-19 |