| NPI | 1013431238 |
|---|---|
| Doing Business As | SAN MARCOS PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ROEL GONZALEZ Pediatric Dentist 210-906-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2020-07-24 |