| NPI | 1346651478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGEEN MOIRA KRAMER President 210-569-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 6593) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 12325) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |