| NPI | 1528207925 |
|---|---|
| Doing Business As | 24TH STREET DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JEFFERY L. MILLER President 210-436-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9977) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |