| NPI | 1083069124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DE LA GARZA Owner 210-681-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16136) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |