| NPI | 1699402735 |
|---|---|
| Doing Business As | AUSTIN DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBERT JENNINGS Owner 940-206-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |