| NPI | 1467823401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GORTARI Owner 956-661-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: TX 27675) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |