| NPI | 1609093939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELIA PATRICIA GARCIA-MORALES President 956-717-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20718) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20718) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-12-05 |