| NPI | 1225375058 |
|---|---|
| Doing Business As | AQUA DENTAL |
| Entity Type | Organization |
| Authorized Contact | HARRY VIRK Managing Member 210-824-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |