| NPI | 1114156957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED MONROE BURNS Owner 830-372-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24186) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |