NPI | 1669189072 |
---|---|
Doing Business As | HWY 83 DENTAL |
Entity Type | Organization |
Authorized Contact | CHARLES ANTHONY REYES President/Dds 956-775-5151 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-11-04 |
Last Update Date | 2022-11-04 |