| NPI | 1093946329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO SALAZAR Owner 956-795-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 21354) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21354) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |