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 |