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 |