| NPI | 1013105642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MUNOZCRUCE Doctor 830-278-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20519) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-04-15 |