| NPI | 1477065969 |
|---|---|
| Doing Business As | RGV PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED AHMED SUBHANI CEO 210-749-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 27910) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 27036) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 22238) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |