| NPI | 1114148897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ALICIA ALVAREZ Office Manager 214-946-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16354) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2011-09-29 |