| NPI | 1538256763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALFONSO GONZALEZ Owner/President 956-683-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14858) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |