| NPI | 1962733188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BLAKE ADAIR Owner 512-858-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18016) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |