| NPI | 1336002740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONEL PEREZ Owner / Managing Member 210-542-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2026-02-23 |