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 |