| NPI | 1023483062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A RILEY Owner/ Operator 210-828-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18101) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |