| NPI | 1972760924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BOBB President 512-858-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23747) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2014-09-18 |