| NPI | 1467695817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELIA PATRICIA GARCIA-MORALES Owner 956-717-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20718) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 20718) |
| 122300000X Dentist (Licence: TX 20492) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20718) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 20492) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |