NPI | 1548702582 |
---|---|
Doing Business As | SONTERRA DENTAL |
Entity Type | Organization |
Authorized Contact | WOODS RAYBURN WOOLWINE Owner 210-341-3222 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 30553) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2020-04-27 |