| NPI | 1104475185 |
|---|---|
| Doing Business As | DE ZAVALA MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERTO A. BENAVIDES Owner 210-740-0645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2022-02-11 |