| NPI | 1548506355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO IVAN GUZMAN Pediatric Dentist 956-537-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22644) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |