| NPI | 1629380605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K HENDRICKS Director/Dentist 512-989-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22805) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2011-01-06 |