NPI | 1851631261 |
---|---|
Doing Business As | WESTLAKE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHAEL KYLE RAYMOND Owner/Dentist 512-732-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 18034) |
Enumeration Date | 2013-02-21 |
Last Update Date | 2013-02-21 |