| NPI | 1801359880 |
|---|---|
| Doing Business As | THE COSMETIC DENTIST OF AUSTIN |
| Entity Type | Organization |
| Authorized Contact | ASHLY SUNSHINE Vendor Relations Manager 636-362-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-01-26 |