| NPI | 1508259706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS BARRERA Dentist 956-782-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22574) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 28917) |
| 122300000X Dentist (Licence: TX 29092) | |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-18 |