| NPI | 1588789408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN CARTER Office Manager 210-681-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-11-06 |