| NPI | 1518237189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHA W KHIREIWISH General Dentist/Owner 210-782-6842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25079) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |