NPI | 1265514590 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM BEN TAYLOR President 210-680-7841 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 15372) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-09-19 |