| NPI | 1922267814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L HIME Owner 512-458-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |