| NPI | 1457726408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MENA Office Manager 830-278-2549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25963) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |