NPI | 1710152749 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY WAYNE MUELLER President 361-575-8088 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11732) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2008-04-30 |