| NPI | 1376705327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S OLEA Dentist/ Owner 210-736-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 18093) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |