| NPI | 1700999208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM SUMBERA Dentist/ Partner 361-576-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12509) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2009-01-16 |