| NPI | 1508964594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERT LEWIS President 210-344-5754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16362) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-07-21 |