| NPI | 1477040863 |
|---|---|
| Doing Business As | YOUR CHILD'S DENTIST |
| Entity Type | Organization |
| Authorized Contact | LETICIA GUTIERREZ JEFFORDS President 210-771-5389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 18284) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |