| NPI | 1154871473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER LOBAINA President 361-991-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 25263) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |