| NPI | 1437431442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN F GONZALEZ Owner / Principal Member 210-380-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 22953) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |