NPI | 1699869107 |
---|---|
Entity Type | Organization |
Authorized Contact | BREN MONTGOMERY CARR President 830-438-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14791) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |