| NPI | 1033581293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWERENCE SCOTT HORNE Sole Owner 210-667-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN16746) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |