| NPI | 1851412498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA RENWICK Dentist Owner 512-218-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19702) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |