| NPI | 1912081837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERT C VASUT Doctor/Owner 512-258-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 14586) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-12-06 |