NPI | 1295128155 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE T LUIKHAM Owner/Dentist 956-583-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 26420) |
Enumeration Date | 2015-03-16 |
Last Update Date | 2015-03-16 |