NPI | 1548534530 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ROTHSTEIN President 210-403-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18942) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2012-03-08 |