| NPI | 1134553431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ARTURO ROMERO President 731-697-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 9423) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |