| NPI | 1790019669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA A AUSTIN Owner/Manager 210-408-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22815) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |