| NPI | 1356639710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY B LINDSAY Partner 830-997-7232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 10162) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 23926) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |