| NPI | 1124509682 |
|---|---|
| Doing Business As | 183 FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANGELA MABEL MATHEW Owner 830-582-2571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-03-25 |