| NPI | 1427225812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DE LA GARZA President 210-227-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11944) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 5943) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 15348) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |