NPI | 1588188304 |
---|---|
Doing Business As | WOLF RANCH DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MICHAEL ANDREW YOUNG Dds 512-240-6623 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-08-02 |
Last Update Date | 2017-08-02 |