| 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 |