| NPI | 1861536161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY RICE Administrative 512-285-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9493) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |