| NPI | 1659631133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON HARTSFIELD President, Member 512-471-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |