| NPI | 1699280792 |
|---|---|
| Doing Business As | TIERRA ESTE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAQUEL BAAMONDE KIRWIN Dentist 915-249-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 30359) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |