| NPI | 1467638866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NANESE RUIZ President/Dentist 806-351-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17910,20035,13861) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |