| NPI | 1336697853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN M GONZALEZ Owner/Dentist 915-591-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11348) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |