| NPI | 1740336817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL D QUILLIAN Office Manager 210-680-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12051) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |