NPI | 1720187131 |
---|---|
Doing Business As | ADVANCED FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEFFERY WAYNE GERHARDT President 512-257-2483 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16831) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2020-08-22 |