| NPI | 1518143312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA B LOPEZ Office Manager 210-657-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX D11013) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |