NPI | 1447418520 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA R RIOS Dentist/Owner 956-542-1956 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist (Licence: TX B19175) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2022-11-02 |