| NPI | 1013300599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MONIQUE MARKS VP & Chief Operating Officer 210-567-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2025-10-16 |