| NPI | 1801373782 |
|---|---|
| Doing Business As | 04 DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEVEN COOK Owner 512-451-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |