| NPI | 1750409686 |
|---|---|
| Other Name | DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | BARBARA MATA Office Manager 210-342-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: TX 20173) |
| Additional Taxonomies | 261Q00000X (Licence: TX 20176) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-04-25 |