| NPI | 1619237062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG PETER TORRES President 512-240-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 16608) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 16609) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2012-05-19 |