NPI | 1821190851 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN ALEXIS BARNETT President Dentist Owner 409-899-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 15384) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2008-04-30 |