| NPI | 1659655199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADWICK RHETT DENMAN Practice Owner 512-458-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22794) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |