| NPI | 1578807640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ALVAREZ Receptionist 806-794-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 13071) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |