| NPI | 1205000320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA GUZMAN MALDONADO Office Manager 214-381-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 16968) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |