| NPI | 1639597222 |
|---|---|
| Doing Business As | AUSTIN CENTRAL PARK PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL CRANDALL JOHNSON Owner/Dentist 512-330-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 28784) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |