| NPI | 1912025354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L FREEZE Owner, Pediatric Dentist 512-266-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21635) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |