| NPI | 1013106731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ISABEL ATIQUE President 210-497-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22352) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |