| NPI | 1538271994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BREVARD BEDFORD President Dentist 830-625-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 19889) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |