| NPI | 1588095558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO PINTO Owner 915-502-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TX 29021) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |