| NPI | 1720258395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J HERNANDEZ President 830-693-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20081) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 19818) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |