| NPI | 1750141313 |
|---|---|
| Doing Business As | MYDENTAL AT SAN MARCOS |
| Entity Type | Organization |
| Authorized Contact | JINAL PATEL Owner 512-815-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-04-08 |