| NPI | 1306387469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MICHAEL WUENSCH Owner 830-629-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 14594) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |