| NPI | 1710258843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO ALBERTO NIEBLA Owner 210-736-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14964) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-03-06 |