| NPI | 1407809619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY CAVAZOS President 956-765-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17649) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |