| NPI | 1902216989 |
|---|---|
| Doing Business As | WESTLAKE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TAMMERA TORRES Credentialing Specialist 512-809-4162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18034) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-05-05 |