| NPI | 1659725349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA GUTWEIN Office Manager 512-340-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30301) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |