| NPI | 1649384470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMA MOYA Office Manager 956-682-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 9920) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |