| NPI | 1073814257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M. LOPEZ Owner/Dentist 915-544-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 17432) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2016-03-23 |