| NPI | 1649374224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS ADOLFO CANALES Dentist President 956-565-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14908) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |