NPI | 1710098439 |
---|---|
Former Legal Business Name | PAUL M LOUNSBERRY JR DDS PA |
Entity Type | Organization |
Authorized Contact | PAUL MARVIN LOUNSBERRY Owner 512-331-9088 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 14090) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-06-19 |