| NPI | 1164803417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANIA MARTINEZ Business Administrator 830-775-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20475) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |