| NPI | 1235678996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA S KAPPEL Dentist 210-364-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27399) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |