| NPI | 1013558998 |
|---|---|
| Doing Business As | GREAT WHITE DENTAL PLLC |
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO MARTINEZ ALVARADO Dentist 210-853-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |