NPI | 1811990138 |
---|---|
Entity Type | Organization |
Authorized Contact | JOY WESTFALL Office Administrator 512-327-0461 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 17705) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2016-10-31 |