| NPI | 1114294246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DURAN General Dentist 956-720-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24288) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |