| 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 |