| NPI | 1306173554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL LUIS MERCADO General Dentist/Owner 210-732-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17101) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2014-07-18 |