| NPI | 1598909640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWIN FALKE President/Owner 512-352-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12965) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 10381) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |