| NPI | 1740572932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON C HEDGECOCK President 512-892-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TX 26159) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2022-07-21 |