| NPI | 1558774554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ROLAND CHAPA President 361-549-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 28209) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2020-07-23 |