| NPI | 1154337830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZONIA G. LOPEZ Office Manager 956-630-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13909) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |