| NPI | 1366848129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA AYALA Managing Member 210-632-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 24255) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |