| NPI | 1093015919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA ESPARZA Dentist 361-852-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25545) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |