| NPI | 1437582236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BOWMAN WALKER Owner 210-698-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20536) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2015-07-07 |