| NPI | 1134919921 |
|---|---|
| Other Name | BARNDENTIST |
| Entity Type | Organization |
| Authorized Contact | SUSAN SHULTS Practice Administrator 210-824-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-19 |