| NPI | 1669896932 |
|---|---|
| Doing Business As | WACO DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | KYLE RAYMOND Owner 512-436-8041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |