| NPI | 1366865081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. LEMKE Owner/ President 210-491-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 15342) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TX 28748) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |