| NPI | 1114229739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D RUIZ Managing Member 361-851-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17865) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2016-07-08 |