NPI | 1609117803 |
---|---|
Doing Business As | MOSAIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | EMILY SUSANNE CONLEY President 512-528-0975 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 23593) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2013-03-13 |