NPI | 1588801302 |
---|---|
Doing Business As | WOODLAKE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CARLOS FREYMANN President 210-661-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2009-01-15 |
Last Update Date | 2009-01-15 |