| NPI | 1932451887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FOWLER MCENTIRE Dentist 512-846-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 22799) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2025-04-01 |