| NPI | 1558812370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA ASHLEY Dentist/Owner 361-991-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19352) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |