NPI | 1164092854 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA ALVAREZ Manager 956-413-9156 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-06-25 |
Last Update Date | 2022-11-28 |