| NPI | 1053446419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN L SHANLEY President 210-697-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15668) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |