| NPI | 1295860799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO A. GUERRA Dentist 956-726-9418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15324) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |