| NPI | 1285832428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. ROBLES Office Manager 361-884-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14841) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |