NPI | 1275802738 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNA LYNN BRITT President 210-674-5370 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19735) |
Enumeration Date | 2011-12-29 |
Last Update Date | 2011-12-29 |