| NPI | 1619186111 |
|---|---|
| Doing Business As | DENTAL DOC |
| Entity Type | Organization |
| Authorized Contact | BEATRIZ CANTU PETTY Dentist President 210-532-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19379) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-09-05 |