| NPI | 1467641357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN PATRICK PIRTLE Owner/Dentist 956-350-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2020-07-07 |