| NPI | 1104209535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA YANEZ Pediatric Dentist 210-884-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 21450) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2025-06-09 |