| NPI | 1649544842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P ANDERSON Dentist/Owner 210-227-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9649) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |