| NPI | 1366656605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO MONTERO President 210-696-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 19427) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |