| NPI | 1578896973 |
|---|---|
| Doing Business As | CARNAVAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL KYLE RAYMOND Owner/Dentist 512-454-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18034) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |