| NPI | 1790171221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE E. FENDRICH President 512-301-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25128) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2021-09-07 |