| NPI | 1770834053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JOSEPH SHIA President 512-454-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 6124) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |