| NPI | 1568625705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS ADOLFO CANALES Owner 956-464-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14908) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |