| NPI | 1467539577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LOUIS WESTERBERG Owner 210-824-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19612) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-04-07 |