| NPI | 1801201066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE MADELLE URBINA Owner/Dentist 512-834-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23912) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |