| 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 |