| NPI | 1497029755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN D. ALVES President 210-208-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 15284) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |