| NPI | 1023387800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE MORALES Office Mgr 210-684-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18063) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |