NPI | 1720361553 |
---|---|
Entity Type | Organization |
Authorized Contact | EDITH ROJAS Pediatric Dentist 361-739-0458 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 21038) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2011-09-28 |