| NPI | 1699865808 |
|---|---|
| Former Legal Business Name | PARMER LANE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | G DAN DEVINE Owner 512-266-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |