| NPI | 1447876321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA KAREN VARGAS Dental Surgeon 664-319-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |