NPI | 1245710151 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN BOOWELL BRANCH Dentist 210-653-8398 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12797) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2018-08-21 |