| NPI | 1528332004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO LUIS VILLARREAL President/Owner 210-432-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22476) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |