NPI | 1609953496 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITA C TONKING MYERS President Of Corporation 830-816-5160 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX D13956) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2016-01-05 |