| NPI | 1134613441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMEL GERARDO CARDENAS Manager/President 956-216-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 20431) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-02-11 |