| NPI | 1033310503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIPE MORALES Dentist 210-673-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14102) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |