| NPI | 1740308568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE A. GUTIERREZ Office Manager 915-855-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13460) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |