| NPI | 1306155353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZBETH HOLGUIN Owner 915-592-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24745) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |