| NPI | 1548644024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA RINEHART Dentist 956-968-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2025-01-27 |