| NPI | 1063832558 |
|---|---|
| Former Legal Business Name | SP ADMINISTRATION |
| Entity Type | Organization |
| Authorized Contact | JOLYNN ZAMORA Ins COO Rd 210-927-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17028) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |