| NPI | 1356586986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL FRANCISCO DIAZ President 832-616-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 23149) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: TX 23149) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2024-03-14 |