| NPI | 1861703969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON WAYNE ENGELS President 512-269-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20662) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |