| NPI | 1164623203 |
|---|---|
| Doing Business As | IMPLANT & PERIODONTAL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TONY DACY President 210-341-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 21366) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |