| NPI | 1538378138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED D. LUNT Dentist 210-615-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 7856) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 12035) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |