| NPI | 1043549173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ISABEL MENDOZA Pediatric Dentist 512-219-9827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22437) |
| Enumeration Date | 2009-12-20 |
| Last Update Date | 2009-12-20 |