| NPI | 1831570571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NEUER Dental Director 512-669-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 31027) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |