| NPI | 1588066229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTOLO ESPANA-AUSTIN Dentist 702-408-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 30426) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |