| NPI | 1659898997 |
|---|---|
| Doing Business As | AVENUE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOYCE WONG Manger 512-329-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24821) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30459) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |