| NPI | 1629395900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN YBARRA SHEPHERD Owner 210-820-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 13395) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |