| NPI | 1578615472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL O GARZA Ownerdentist 956-580-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18673) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 17637) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |