| NPI | 1568901957 |
|---|---|
| Other Name | GALLERIA DENTAL |
| Entity Type | Organization |
| Authorized Contact | OFELIA P HERNANDEZ Owner 956-581-5265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 28024) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-23 |