NPI | 1134336472 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER SANCHEZ CAMPOS President 210-523-6188 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16042) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |