| NPI | 1194934778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EDMUND BONNER President 361-993-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 19302) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-08-07 |