| NPI | 1336485010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO PEREZ Manager 210-307-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20174) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |