| NPI | 1245564236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR D HOSSEINI President 210-614-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22281) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 20527) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |