| NPI | 1033694187 |
|---|---|
| Former Legal Business Name | ROBERTO K. GILES |
| Entity Type | Organization |
| Authorized Contact | ROBERTO K. GILES Owner 936-441-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |