| NPI | 1720177298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESE A ANDINO Owner Dentist 432-943-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX TX19694) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |