NPI | 1801293469 |
---|---|
Doing Business As | VISTA RIDGE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MAX KERR Co Owner 512-402-7811 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 25202) |
Enumeration Date | 2014-11-25 |
Last Update Date | 2014-11-25 |