| NPI | 1033527304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO GONZALEZ Office Administrator 956-583-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |