| NPI | 1356849053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR CARLOS TIJERINA Dentist 210-954-5307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 28039) |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2018-01-28 |