| NPI | 1083932180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS SCRAVER Owner 210-546-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22951) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2011-02-03 |