| NPI | 1437355526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAEL GUAJARDO President 210-928-7975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 7257) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-11 |