| NPI | 1326456229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEBAN VELEZ President 830-372-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21621) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-10-21 |