| NPI | 1053432005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ELIZABETH LANDEROS Dds 956-423-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 22512) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-03-01 |