| NPI | 1093054553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED BURNS Owner 830-491-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24186) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25104) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 28331) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |