NPI | 1639497555 |
---|---|
Former Legal Business Name | ROBERT T. WOOTTON, DDS, PC |
Entity Type | Organization |
Authorized Contact | CATHERINE WOOTTON Office Manager 512-472-2246 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12773) |
Enumeration Date | 2010-05-17 |
Last Update Date | 2010-05-17 |