NPI | 1134541501 |
---|---|
Doing Business As | TEXAS DENTAL WEST |
Entity Type | Organization |
Authorized Contact | THERESE SINGSON MIRANDA President 210-681-4867 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25501) |
Enumeration Date | 2014-01-20 |
Last Update Date | 2014-01-20 |