| NPI | 1487202750 |
|---|---|
| Former Legal Business Name | WESTERN DENTAL CARE LLC |
| Entity Type | Organization |
| Authorized Contact | TASNEIM A MOHAMED Owner 210-277-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |