NPI | 1245648732 |
---|---|
Former Legal Business Name | SARAH J DIRKS, DDS |
Entity Type | Organization |
Authorized Contact | SARAH JUNE DIRKS Owner/President 210-617-4446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 16152) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2014-07-28 |