| NPI | 1699929414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO JOSE DE LA GARZA Pediatric Dentist 210-680-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-12-19 |