| NPI | 1578717039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN FONCELL POWERS Insurance COO Rdinator 512-832-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |