| NPI | 1437324589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SCOTT BARBER President 830-625-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21504) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 8451) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-08-17 |