| NPI | 1750403887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DODGE Dental School Vice Dean 210-567-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-10-11 |