| NPI | 1164767927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA MARIA MENENDEZ Owner/Dentist 915-581-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22526) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |