| NPI | 1356768659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEWIS DREFKE Dentist/ Owner 956-781-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 12818) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |