| NPI | 1598846347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO CESAR DE LA FUENTE Owner/President 956-668-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19788) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-10-13 |