| NPI | 1225104292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CORTINAS CFO 915-212-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: TX 14305) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-10-07 |