| NPI | 1851636708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BETHELL Owner/Dentist 512-808-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25813) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2013-01-24 |