| NPI | 1245252238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY HAY Practice Coordinator 210-654-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 11694) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-08-15 |