| NPI | 1508639766 |
|---|---|
| Doing Business As | UNTIE SOUTH TEXAS |
| Entity Type | Organization |
| Authorized Contact | REX E WILDEY Owner/Doctor 210-417-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |