| NPI | 1225213465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN E SWENSON Owner 956-383-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21574) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-02-07 |