| NPI | 1548666241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY KIRK CUNNINGHAM President & Owner 512-537-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16135) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |