| NPI | 1679074983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO IVAN GUZMAN Owner/ Pediatric Dentist 956-537-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22644) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-06-16 |