NPI | 1760641856 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN PAYNE ROBERSON Partner Dentist 512-869-5997 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 14367) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 21726) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2008-06-04 |