| NPI | 1720195498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LEONARD DOLCE President 512-346-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 16531) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 7673) |
| 1223P0300X Dentist, Periodontics (Licence: TX 20256) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |