| NPI | 1043452451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAM R JANSE Owner/Dentist 210-523-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13898) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |