| NPI | 1013290865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA PAOLA VALENTINI Owner 832-875-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 21118) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 24060) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-10-22 |