| NPI | 1144384785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY S MARTINEZ Dentist 956-542-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20613) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-06-29 |