| NPI | 1912441577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN BAKER Dentist/Owner 832-616-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29936) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |