| NPI | 1366186843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSENDO GARZA Dds 951-807-3078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2025-06-16 |